Wachter, Susan Blake
Wachter, Susan Blake is an individual health care provider with primary practice located at 2985 Cortez Ave , Idaho Falls ID 83404-7554. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wachter, Susan Blake can be contacted via phone (208) 523-3373.Contact Information
Primary practice address
2985 Cortez Ave
Idaho Falls ID 83404-7554
Phone: (208) 523-3373
Fax: (208) 523-8746
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 6825173-1205 | Utah |
Profile Details
| NPI number | 1740450014 |
|---|---|
| LBN Legal business name | Wachter, Susan Blake |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2008 |
| Last updated | Jan 13th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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